Clinical Procedures

Our Procedures.

As a Level 3 Out-of-Hospital facility, we offer surgical procedures for shoulders, elbows, knees, ankles, and hips. Explore the detailed descriptions for each procedure below.

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Shoulder Arthroscopy

Rotator Cuff Repair

For patients with shoulder pain and/or weakness due to rotator cuff tears, we use minimally invasive arthroscopic techniques to reattach the tendons of the rotator cuff in the shoulder. The surgery aims to restore strength and function to the shoulder, relieving pain and improving the patient’s range of motion.

Labrum Repair

Shoulder arthroscopy and labrum repair is performed to address recurrent dislocations or instability of the shoulder joint, as well as pain in overhead athletes. It typically involves repairing or tightening the ligaments and soft tissues around the shoulder to enhance stability and function. The goal is to reduce the risk of future dislocations,reduce pain and improve overall shoulder function.

Latarjet Procedure

The Latarjet procedure is a surgical technique used to treat shoulder instability, especially in cases of recurrent anterior shoulder dislocations. During the procedure, a piece of bone from the patient’s coracoid process (a part of the shoulder blade) is transferred and fixed to the front of the glenoid (the socket of the shoulder joint). This bony transfer provides added stability to the shoulder joint, reducing the risk of dislocations by preventing the humeral head from slipping out of the socket.

Elbow Arthroscopy

Tommy John Procedure (UCL Reconstruction)

Ulnar collateral ligament (UCL) reconstruction of the elbow, commonly known as Tommy John surgery, is a surgical procedure performed on the elbow to repair or replace a damaged UCL. This procedure is commonly associated with baseball pitchers and other athletes who repeatedly stress the elbow. During Tommy John surgery, the surgeon typically augments the damaged UCL with a tendon graft from another part of the patient’s body, such as the forearm or hamstring. For minor tears an internal brace can be used which is a suture and anchor construct. These procedures help to restore elbow stability and function, allowing the athlete to return to their sport after a period of rehabilitation.

Hip Arthroscopy

Labrum repair and pincer/cam decompression

Hip arthroscopy is a minimally invasive surgical procedure used to diagnose and treat various hip joint conditions. Labrum repair and osteoplasty are often performed during hip arthroscopy. Labrum repair involves reattaching or trimming the acetabular labrum, a ring of cartilage that surrounds the hip socket, to address tears or damage. Osteoplasty is the process of reshaping or removing bone, typically to correct bone abnormalities or impingements that can contribute to hip pain and dysfunction. These procedures are often used to relieve hip pain and improve joint function.

Knee Arthroscopy

Anterior Cruciate Ligament (ACL) Reconstruction

ACL (Anterior Cruciate Ligament) reconstruction is a surgical procedure performed to repair or replace a torn ACL in the knee. This ligament is crucial for knee stability and ACL reconstruction aims to restore stability to the knee, prevent further injuries, and facilitate the return to physical activities and sports. Using a donor tendon from the patient (patellar tendon, quadriceps tendon, or hamstrings tendon), modern arthroscopic techniques are used to perform an anatomic reconstruction of the anterior cruciate ligament.

Medial Patellofemoral Ligament Reconstruction

Medial patellofemoral ligament (MPFL) reconstruction is a surgical procedure performed to address patellar instability, often due to recurrent patellar dislocations. his procedure is intended to prevent further dislocations and restore normal patellar tracking, reducing pain and improving the overall function of the knee. Using a donor tendon from the patient (hamstrings tendon), the MPFL is reconstructed and reattached to the patella and femur.

Cartilage Repair

For patients who have symptomatic cartilage lesions of the knee, we have access to a variety of cartilage repair and/or cartilage restoration techniques including autologous matrix induced chondrogenesis (AMIC), osteochondral allograft transplantation, DeNovo NT, and Cartimax. The specific method chosen depends on the extent of cartilage damage and the patient’s individual condition. The goal of cartilage repair is to reduce pain, improve knee function, and potentially delay or prevent the development of osteoarthritis by restoring healthy cartilage in the knee.

Meniscus Transplantation

In patients who have symptoms from prior partial or complete meniscectomy, meniscus replacement or transplantation surgery can be performed. A donor meniscus which is size-matched can be implanted to re-create anatomy and restore knee biomechanics, improve function, and potentially reduce the risk of future degenerative changes in the knee.

Meniscus Repair

During this procedure, the surgeon sutures or reattaches the torn edges of the meniscus, allowing it to heal and preserve its function as a cushion and stabilizer in the knee joint.

Partial Meniscectomy and Debridement

Partial meniscectomy is a surgical procedure performed to treat a tear or damage to the meniscus in the knee. During a partial meniscectomy, the surgeon removes the torn or damaged portion of the meniscus, leaving as much healthy tissue intact as possible. This procedure is typically done arthroscopically, with small incisions, and is aimed at reducing pain, improving knee function, and preventing further damage to the knee joint.

Ankle Arthroscopy

Ankle Ligament Repair

Ankle ligament stabilization is a surgical procedure performed to address chronic ankle instability caused by ligament damage or laxity, often due to repeated ankle sprains or injuries. The procedure typically involves repairing or reconstructing the damaged ligaments, most commonly the anterior talofibular ligament (ATFL), calcaneofibular ligament (CFL), and posterior talofibular ligament (PTFL). By stabilizing the ankle joint, this surgery aims to reduce the risk of recurrent ankle sprains, improve overall ankle function, and alleviate chronic pain or discomfort. The specific technique used can vary based on the individual’s condition and the surgeon’s approach.

Cartilage Repair

Cartilage repair techniques for the ankle are similar to those used in the knee and can include microfracture, osteochondral autograft transplantation (OAT), DeNovo NT, autologous matrix induced chondrogenesis (AMIC) and other methods. The goal of this procedure is to reduce pain, improve ankle function, and potentially delay or prevent the development of osteoarthritis by restoring healthy cartilage in the ankle joint. The specific technique chosen depends on the extent and location of the cartilage damage and the patient’s individual condition.

IHM Surgical Centre is in the prestigious Yorkville neighbourhood, in downtown Toronto. Located on the 3rd floor at 199 Avenue Rd, this discreet location is easily accessible to within the downtown core and within minutes to the Hazelton Hotel and Park Hyatt.
IHM Surgical is a level 3, Out of hospital premises. We have full accreditation by the College of Physicians and Surgeons which means we operate at highest standards of quality and patient care. Our experienced surgical team will provide the ultimate experience in safe and efficient care. reaching your true potential, we encourage you to get in touch with us today.